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� <br /> f � � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------ -------------- -------------------------- <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: ���3 G y�i� f�1/� ZIP: 'J`�5 3� 1 <br /> � � ,� <br /> NAME OF OWNER: T/�I �j�l�L« l�l���IV PHONE: (home)� f D � � <br /> (work) <br /> MAILING ADDRESS: ��73 �y R(C, �1� CITY: D�Dll9p ZIP: �5 3 q ( <br /> CONTRACTOR: M C�—�SU,VI'l �Ng� C'D, PHONE: �71- 66 $� <br /> CONTACT PERSON: 4 E� S�{01/E�,(� MOBILE/PAGER: <br /> MAILING ADDRESS: 1�800 GG�uNTRt/ �I�iG' l-IV CITY: $tl/�NSV//.L� ZIP: SS 337 <br /> STATE LICENSE: # �oD����7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> 1vAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�)� Land Alteration <br /> PROPOSED WORK(describe in detai�: ( -��1 �� �Q�� �/�'�( <br /> .�1> � l�'�r I�� ���,2od�1S w�7�� � r� �" <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���(,7 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I understand this is not a permit and work is not to start witho�t a <br /> permit; and that the work will be in ac rdan e with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��-�J��/� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 6 <br />